Individual
ELIZABETH L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
4150 LACLEDE AVE, ST LOUIS, MO 63108
(314) 531-8148
(314) 531-5874
Mailing address
4150 LACLEDE AVE, ST LOUIS, MO 63108
(314) 531-8148
(314) 531-5874
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2003013567
MO
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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